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Government needs to give clear, truthful dietary advice
September 23, 04
Suzanne Havala Hobbs

On the battleground of nutrition policy, where science, money and politics contend, score one for consumers, two for industry.

That is, of course, if the government lets stand proposed changes to the Dietary Guidelines for Americans, our nation’s blueprint for food and nutrition policy. As I mentioned in last week’s column, a public comment period is under way, and a final version of the guidelines will be published early next year.

The draft report can be commended for urging limits on trans fats, pushing fruits and vegetables, and emphasizing whole grains rather than refined ones and nonfat or lowfat milk in lieu of whole milk.

In other areas, though, the report fails to provide clear guidance concerning which foods promote good health.

In a major departure from previous versions of the guidelines, the report buries into fine print advice about limiting added sugar and instead issues this muddied recommendation: “Choose carbohydrates wisely for good health.”

This gift to the food industry is particularly bold given the growing body of scientific evidence – not to mention common sense – that underscores the role soft drinks, cakes, cookies, pies and other sweets play in contributing to obesity and displacing nutritious foods from the diet.

But that’s where politics come in. The New York Times, in a Sept. 1 editorial, summed it up well:

“This curious avoidance of the growing evidence about the dangers of added sugar would be inexplicable but for the fact that seven members of the panel – which was chosen by the Health and Human Services Department – have major financial and organizational connections to the food, drug and dietary supplement industries. It strains the imagination to believe that the sugar industry did not have undue influence this time around.”

The report floats the concept of “discretionary” calories, as in “Hey, all foods, including junk, can fit within the calories you have remaining once you’ve met all your nutritional needs.” That rarely happens for most of us. With obesity rates as high as they are, most people have no discretionary calories.

The sugar lobby isn’t the only industry to score a victory. The dairy industry has worked equally hard to gain ground amidst sagging milk sales.

The proposed guidelines raise the recommended number of dairy product servings by 50 percent – to three servings per day – for most people. That benefits the dairy industry since federal nutrition programs, including school lunches, would be required to comply with the guidelines.

In recent years, the dairy industry has funneled funding into nutrition research, conferences organized around the theme of a national “calcium crisis,” and pushed a national “3-A-Day” ad campaign.

The trouble is, dairy products – particularly cheese – are the leading source of artery-clogging saturated fat in the American diet. And – let’s face it – there’s no human requirement for milk from a cow.

“Huge parts of the world don’t even consume dairy,” Walter Willett, chair of the nutrition department in Harvard’s School of Public Health, told The Wall Street Journal. He called the report “egregious” and noted that it did not take into account several major studies linking dairy consumption to prostate cancer.

The Journal story reported a guideline committee member’s comment that the major consideration in increasing recommendations for dairy was to boost not just calcium but also potassium intakes. If the guidelines didn’t suggest raising intakes of dairy products, she said, the committee would have had to recommend that we all eat more sweet potatoes, spinach, bananas and other potassium-rich foods. I’d like to know why the guidelines can’t say that.

Somehow, sometime, our government agencies have to play it straight with the public and be truthful and clear about what is and is not good for health. The proposed Dietary Guidelines take some steps toward that goal. But the government should do better.

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